Truth, trust, and paternalism

Lancet. 1985 Aug 31;2(8453):490-2. doi: 10.1016/s0140-6736(85)90413-1.


KIE: The emphasis on the necessity for fully informed consent in two new books, Doctors' Dilemmas by M. Phillips and J. Dawson and Whose Body Is It? by C. Faulder, is found to be "lacking in balance" by Brewin. The doctor's discretion in dealing with each patient is considered to be the key to determining priorities between paternalism and communication. Rigid rules, Brewin argues, may not be in the patient's best interest and thus should not be forced on doctors and nurses by "philosophers or experts in ethics."

MeSH terms

  • Communication
  • Humans
  • Informed Consent
  • Paternalism
  • Personal Autonomy
  • Physician-Patient Relations*
  • Risk Assessment
  • Trust
  • Truth Disclosure*